Medical Alarm Design
PATIENT SAFETY PRIMERS
Device-related Complications (9)
Identification Errors (1)
Discontinuities, Gaps, and Hand-Off Problems (2)
Medication Safety (11)
Medical Complications (9)
Nonsurgical Procedural Complications (2)
Surgical Complications (5)
Psychological and Social Complications (1)
North America (37)
Journal Article (19)
Newspaper/Magazine Article (17)
Press Release/Announcement (1)
Special or Theme Issue (2)
Epidemiology of Errors and Adverse Events (6)
Active Errors (7)
Latent Errors (5)
Approach to Improving Safety
Medical Alarm Design
Health Care Providers (24)
Health Care Executives and Administrators (33)
Non-Health Care Professionals (32)
Setting of Care
Ambulatory Care (1)
Outpatient Surgery (2)
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Medication safety and knowledge-based functions: a stepwise approach against information overload.
Patapovas A, Dormann H, Sedlmayr B, et al. Br J Clin Pharmacol. 2013;76(supp 1):14-24.
Safety still compromised by computer weaknesses.
ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3.
A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.
Carspecken CW, Sharek PJ, Longhurst C, Pageler NM. Pediatrics. 2013;131:e1970-e1973.
A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital.
Raschke RA, Gollihare B, Wunderlich TA, et al. [published correction appears in JAMA. 1999;281:420]. JAMA. 1998;280:1317-1320.
The enterprise take on patient safety.
Rogoski RR. Health Manage Technol. August 2005;26:12,14,16,18.
"Plug and Play" hospitals: medical devices that exchange data could make hospitals safer.
Grifantini K. Technol Rev. July 9, 2008.
Reducing alarm hazards: selection and implementation of alarm notification systems.
Gee T, Moorman BA. Patient Saf Qual Healthc. March/April 2011;8:14-17.
Predictive combinations of monitor alarms preceding in-hospital code blue events.
Hu X, Sapo M, Nenov V, et al. J Biomed Inform. 2012;45:913-921.
Smart pumps: advanced capabilities and continuous quality improvement.
Vanderveen T. Patient Saf Quality Healthc. January/February 2007.
One group of doctors changes its ways.
Hallinan JT. Post-Gazette.com. June 21, 2005.
Improving alarm performance in the medical intensive care unit using delays and clinical context.
Görges M, Markewitz BA, Westenskow DR. Anesth Analg. 2009;108:1546-1552.
Best Practices for Alarm Management-Palomar Medical Center and Johns Hopkins Hospital.
AAMI Foundation Healthcare Technology Safety Institute. Alarm Systems Management Webinar Series. January 28, 2014; 1:00–2:00 PM (Eastern).
Clinical alarms: improving efficiency and effectiveness.
Phillips J, Barnsteiner JH. Crit Care Nurs Q. 2005;28:317-323.
A review of current and emerging approaches to address failure-to-rescue.
Taenzer AH, Pyke JB, McGrath SP. Anesthesiology. 2011;115:421-431.
Patient alarms often unheard, unheeded.
Kowalczyk L. Boston Globe. February 13–14, 2011.
Clinical alarms: complexity and common sense.
Phillips J. Crit Care Nurs Clin North Am. 2006;18:145-156.
Latest heparin fatality speaks loudly—what have you done to stop the bleeding?
ISMP Medication Safety Alert! April 8, 2010;15:1-3.
Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial.
Shorr RI, Chandler AM, Mion LC, et al. Ann Intern Med. 2012;157:692-699.
SPECIAL OR THEME ISSUE
Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis.
PA-PSRS Patient Saf Advis. March 2008;5(suppl rev):1-50.
To reduce patient falls, hospitals try alarms, more nurses.
Ryan J. All Things Considered. National Public Radio. October 16, 2013.
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